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DR. ANDREW MIN PARK D.C.
NPI 1841480209
Chiropractor in Riverside, CA

Active since July 31, 2007Accepts Medicare Assignment
7065 INDIANA AVE STE 100&110, RIVERSIDE, CA 92506(951) 476-0115(951) 479-0116 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Mar 3, 2026, Jun 15, 2016 (3 updates tracked since 2016).

About Dr. Andrew Min Park D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW MIN PARK D.C. (NPI 1841480209) is an individual chiropractor in Riverside, California, licensed in California (DC25781) and active in the NPI registry since July 2007. He is a graduate of Los Angeles College Of Chiropractic (1998).

NPPES Registry Identity

NPI1841480209
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREW MIN PARKCredential: D.C.
Location Address7065 INDIANA AVE STE 100&110Riverside, CA 92506-4167
Mailing Address7065 Indiana Ave Ste 100&110Riverside, CA 92506-4167 · (951) 476-0115 · Fax (951) 479-0116
Phone(951) 476-0115
Fax(951) 479-0116
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 1998
Enumeration DateJuly 31, 2007
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1841480209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC25781
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X · License AC17077 (CA)
7065 INDIANA AVE STE 100&110, Riverside, CA 92506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Min Park D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739101239
PECOS Enrollment IDI20051227000700

Medicare Billing Reassignment

Medicare enrollment records show Andrew Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation
58 mi
Pain Medicine
36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1922440684 (760) 321-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MICHELLE YAP ECHEVERRIA FNP-BC
Nurse Practitioner (Family)
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 476-0115
TOBIAS MOELLER-BERTRAM MD CORPORATION
Durable Medical Equipment & Medical Supplies
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 476-0115
SEPIDEH PARANDEH
Nurse Practitioner (Family)
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 476-0115
DR. JASON VASQUEZ PH.D.
Psychologist (Counseling)
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (760) 647-7676
CHANGHYUN OH
Acupuncturist
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 479-0115
MS. HARRIER CAGATAY PAC
Physician Assistant
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 479-0115
YU-PING GARTHWAITE MPH, RDN
Dietitian, Registered
7065 INDIANA AVE STE 100&110
RIVERSIDE, CA 92506
Riverside County (951) 476-0115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1841480209. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Andrew Park located?

Andrew Park practices at 7065 Indiana Ave Ste 100&110, Riverside, CA 92506. The listed phone number is (951) 476-0115.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Andrew Park enrolled in Medicare?

Yes. Andrew Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Park reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.